National Institute on Media and the Family says game ratings are ineffective; ESRB begs to differ.

For the ninth year in a row, the National Institute on Media and the Family released its MediaWise Video Game Report Card. Self-described as "a snapshot of the interactive gaming industry with a focus on issues related to the welfare of children and teens," this year's report was disseminated at a press conference held on Capitol Hill.

Surprising no one who has followed the group's annual trek inside the Beltway, the report was an indictment of game industry practices, especially in the areas of ratings and content. The report contends that ratings are confusing and that the video game industry's use of ratings is insincere.